Application: Has your institution applied previously? * Has your institution received a visit previously? (Note: Programs which have not received a visit, will be prioritized). * Name of Institution * GI Program Director: ACG Member? *
ACG Membership is NOT required.
Title / Position * Email *
Twitter Handle *
If you do not have a Twitter handle, please mark N/A
Point Person/ Contact: Name *
Title / Position * Email *
Phone * Administrative Assitant/ GI Fellowship Coordinator Name
Title / Position Email
Phone Program Details: Program Size (Total number of fellows) * Requested Topics/ Areas of Interest: * Would you like to have the ACG Visiting Scholar in Equity, Diversity & Ethical Care as your Visiting Professor? *
NEW THIS YEAR: ACG Visiting Scholar in Equity, Diversity & Ethical Care - This program will provide lectures to create awareness around the issues and challenges related to delivering equitable care, achieving diversity, and instilling ethical decision-making.
Please explain why would you like to have the ACG Visiting Scholar in Equity, Diversity & Ethical Care? *
What is the need for your institution to have the ACG Visiting Scholar in Equity, Diversity & Ethical Care speak on these topics?
Please write N/A if you are not interested.
Potential Speakers: *
Identify at least three (must be ACG members); there is no guarantee that we can fulfill the exact request, given limitations of schedules and travel requirements.
Past ACG Edgar Achkar Visiting Professorship Speakers
to see the full list of past speakers. You have the option to pick a different speaker, the linked list is merely intended as a reference.
Potential dates: *
Please list three dates in 2022. ACG anticipates planning visits between March 2022 and November 2022, however later dates may be considered.
Will the Visiting Professor be asked to hold a GUT Club or Community Event? *
Please answer whether there will be a community event open the to local GI community.
Please describe what type of event or presentation you will offer to local GI practitioners and how it will be promoted. *
Indicate the type of event open to the local GI community where the Visiting Professor will present. For promotion, will you circulate a flyer and where? Utilize an email listserv of local GIs, or advertise to local practices? Will the presentation be broadcast to other institutions/ practices?
How will the GUT club event be financially supported? *
ACG doe not provide funds for local GUT Club events.
Anticipated Activities for the Visiting Professor: *
Check as many as applicable
Advertising and Recruitment Plan: *
Detail how you plan to advertise the “ACG Edgar Achkar Visiting Professorship Program” and to recruit participants.
Statement of Need: *
How will hosting a Visiting Professor enhance the educational experience of your fellows and faculty? Why does having an expert in a particular topic important to your institution?
Who and what population will benefit from this visit? Who will be coming into contact with the visiting professor?
ACG Connection *
Please state any relevant ACG connections to your institution. Has the program director, any of the applicants, worked with ACG previously? If so, in what capacity?
Letter of Request * Accepted file types: doc, docx, pdf, Max. file size: 64 MB.
Attach your letter addressed to the ACG Institute Director on official letterhead outlining the need and impact for this visit for your institution and fellows.
Administrative Information ACG Virtual Visit Option
ACG offers visits virtually via Zoom. The schedule and event options are similar to an in-person visit and ACG can offer CME as well as record lectures.
Best Days of the week for a visit: * Recommended Hotels: * Nearest Airport to Institution: * Program Social Media Identifiers
Please provide twitter handle, facebook address, or other social media identifiers for the GI program itself.
Program Website URL